FORM 1023-EZ for RESTORATION HOUSE FOR WOMEN AND CHILDREN INC

Field Data
EIN 81-2953744
Case Number EO-2018242-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RESTORATION HOUSE FOR WOMEN AND CHILDREN INC
Organization’s Mailing Address 5004 ANNTANA AVE
City BALTIMORE
State MD
ZIP 21206
Accounting period End 12
Primary contact name KAREN A COLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH CARRINGTON
TREASURER
3214 A EAST JOPPA RD
PARKVILLE MD 21234

Officer/Director/Trustee Two

YVETTE GREEN
CHAIRPERSON EXECUTIVE DIRECTOR
3897 MARRIOTTSVILLE RD
RANDALLSTOWN MD 21133

Officer/Director/Trustee Three

JANICE PUGH
SECRETARY
206 ENGLAND POINTE DRIVE
FREDERICKSBURG VA 22406

Officer/Director/Trustee Four

DENISE SMILEY
BOARD MEMBER
306 NAYLOR STREET APT 1
SALISBURY MD 21804

Officer/Director/Trustee Five

WELDON HARRIS
BOARD MEMBER
804 DARTMOUTH ROAD APT C
BALTIMORE MD 21212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANICE PUGH
Signature Title SECRETARY
Signature Date 8/28/18

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